NCG030696_2023 DMR_20240209

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report(DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete,sign,scan and submit the DMR via the Stormwater NPDES Permit Data Monitoring Report(DMR) Upload form within
30 days of receiving sampling results. Mail the original,signed hard copy of the DMR to the appropriate DEM LR Regional Office.
Certificate of Coverage No. NCGO3 0696 Person Collecting Samples:Hatchell Jackson
Facility Name:EDSCO Fasteners LLC Laboratory Name:N/A
Facility County:Cabarrus Laboratory Cert. No.:N/A
Discharge during this period:❑Yes El No (if no,skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances?Ekes EINo
If so,which Tier(I,II,or Ill)?
A copy of this DMR has been uploaded electronically via https://edocs.deq.nc.gov/Forms/SW-DMR 0 Yes ❑No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities—Benchmarks in(Red)
Parameter Parameter Outfall 001 Outfall 002 Outfall003 Outfall 004 Outfall
Code
N/A Receiving Stream Class
N/A Date Sample Collected MM/DD/YYYV See Notes See Notes See Notes See Notes
46529 24-Hour Rainfall in inches See Notes See Notes See Notes See Notes
C0530 TSS in mg/L(100 or 501 See Notes See Notes See Notes See Notes
00400 pH in standard units(6.0—9.0 FW, See Notes See Notes See Notes See Notes
6.8-8.5 SW)
01119 Copper,total recoverable in mg/L See Notes See Notes See Notes See Notes
(0.010 FW,0.0058 SW)
01051 Lead,total recoverable in mg/L See Notes See Notes See Notes See Notes
(0.075 FW,0.22 SW)
01094 Zinc,total recoverable in mg/L(0.126 See Notes See Notes See Notes See Notes
FW,0.095 SW)
00340 Chemical Oxygen Demand(COD)in See Notes See Notes See Notes See Notes
mg/L(120) _
00552 Non-Polar Oil&Grease in mg/L(15) See Notes See Notes See Notes iSee Notes
•Outfalls to Outstanding Resource Waters(ORW),High Quality Waters(HQW),Trout Waters(Tr)and Primary Nursery Areas(PNA)
have a benchmark TSS limit of 50 mg/L Ail other water classifications have a benchmark of 100 mg/L
FW(Freshwater)SW(Saltwater)
Notes(optional): No Discharge
"I certify by my signature below,under penalty of law,that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted.Based on my
inquiry of the person or persons who manage the system,or those persons directly responsible for gathering the information,the information
submitted is,to the best of my knowledge and belief,true,accurate,and complete.I am aware that there are significant penalties for submitting
false information, c ding the possibility of fines and imprisonment for knowing violations."i.....et/i----
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Signature 6 Permittee or Delegated Authorized Individual Date
[e-mail] 704-323-8630
Email Address Phone Number